Neuroimaging Features of Optic Nerve Hemangioblastoma Identified by Conventional and Advanced Magnetic Resonance Techniques: A Case Report and Literature Review

Optic nerve hemangioblastoma is a very rare benign tumor with only 39 reported cases by now. It appears to be hyperintense on T2-weighted images with a significant enhancement on contrast scans, which are similar to glioma and meningioma. Due to the lack of specificity in MRI manifestations, optic n...

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Autores principales: Meihan Duan, Lie Yang, Jun Kang, Renzhi Wang, Hui You, Ming Feng
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Publicado: Frontiers Media S.A. 2021
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spelling oai:doaj.org-article:7367c204085c44cda548bdddc43db77d2021-11-12T04:27:20ZNeuroimaging Features of Optic Nerve Hemangioblastoma Identified by Conventional and Advanced Magnetic Resonance Techniques: A Case Report and Literature Review2234-943X10.3389/fonc.2021.763696https://doaj.org/article/7367c204085c44cda548bdddc43db77d2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fonc.2021.763696/fullhttps://doaj.org/toc/2234-943XOptic nerve hemangioblastoma is a very rare benign tumor with only 39 reported cases by now. It appears to be hyperintense on T2-weighted images with a significant enhancement on contrast scans, which are similar to glioma and meningioma. Due to the lack of specificity in MRI manifestations, optic nerve hemangioblastoma is often misdiagnosed. To provide new insights into differential diagnosis of optic nerve hemangioblastoma, we report for the first time an optic nerve hemangioblastoma case employing advanced magnetic resonance techniques including diffusion-weighted imaging (DWI), apparent diffusion coefficient (ADC) maps, and magnetic resonance angiography (MRA). In addition, we have collected all reported optic nerve hemangioblastoma cases and reviewed their neuroimaging findings by MRI and angiography. Our results show that solid-type tumor is the dominant form of optic nerve hemangioblastoma and extensive edema is widely observed. These findings are surprisingly contrary to manifestations of cerebellar hemangioblastoma. Besides the structural features, quantitative indexes including ADC and relative cerebral blood volume (rCBV) ratio, which are significantly elevated in cerebellar hemangioblastoma, may also shed a light on the preoperative diagnosis of hemangioblastoma of optic nerve. Finally, we discuss the critical neuroimaging features in the differential diagnosis between optic nerve hemangioblastoma from optic pathway glioma and optic nerve sheath meningioma.Meihan DuanLie YangJun KangRenzhi WangHui YouMing FengFrontiers Media S.A.articleneuroimagingmagnetic resonance imaging (MRI)optic nerve hemangioblastomadiffusion-weighted imaging (DWI)apparent diffusion coefficient (ADC)angiographyNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENFrontiers in Oncology, Vol 11 (2021)
institution DOAJ
collection DOAJ
language EN
topic neuroimaging
magnetic resonance imaging (MRI)
optic nerve hemangioblastoma
diffusion-weighted imaging (DWI)
apparent diffusion coefficient (ADC)
angiography
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle neuroimaging
magnetic resonance imaging (MRI)
optic nerve hemangioblastoma
diffusion-weighted imaging (DWI)
apparent diffusion coefficient (ADC)
angiography
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
Meihan Duan
Lie Yang
Jun Kang
Renzhi Wang
Hui You
Ming Feng
Neuroimaging Features of Optic Nerve Hemangioblastoma Identified by Conventional and Advanced Magnetic Resonance Techniques: A Case Report and Literature Review
description Optic nerve hemangioblastoma is a very rare benign tumor with only 39 reported cases by now. It appears to be hyperintense on T2-weighted images with a significant enhancement on contrast scans, which are similar to glioma and meningioma. Due to the lack of specificity in MRI manifestations, optic nerve hemangioblastoma is often misdiagnosed. To provide new insights into differential diagnosis of optic nerve hemangioblastoma, we report for the first time an optic nerve hemangioblastoma case employing advanced magnetic resonance techniques including diffusion-weighted imaging (DWI), apparent diffusion coefficient (ADC) maps, and magnetic resonance angiography (MRA). In addition, we have collected all reported optic nerve hemangioblastoma cases and reviewed their neuroimaging findings by MRI and angiography. Our results show that solid-type tumor is the dominant form of optic nerve hemangioblastoma and extensive edema is widely observed. These findings are surprisingly contrary to manifestations of cerebellar hemangioblastoma. Besides the structural features, quantitative indexes including ADC and relative cerebral blood volume (rCBV) ratio, which are significantly elevated in cerebellar hemangioblastoma, may also shed a light on the preoperative diagnosis of hemangioblastoma of optic nerve. Finally, we discuss the critical neuroimaging features in the differential diagnosis between optic nerve hemangioblastoma from optic pathway glioma and optic nerve sheath meningioma.
format article
author Meihan Duan
Lie Yang
Jun Kang
Renzhi Wang
Hui You
Ming Feng
author_facet Meihan Duan
Lie Yang
Jun Kang
Renzhi Wang
Hui You
Ming Feng
author_sort Meihan Duan
title Neuroimaging Features of Optic Nerve Hemangioblastoma Identified by Conventional and Advanced Magnetic Resonance Techniques: A Case Report and Literature Review
title_short Neuroimaging Features of Optic Nerve Hemangioblastoma Identified by Conventional and Advanced Magnetic Resonance Techniques: A Case Report and Literature Review
title_full Neuroimaging Features of Optic Nerve Hemangioblastoma Identified by Conventional and Advanced Magnetic Resonance Techniques: A Case Report and Literature Review
title_fullStr Neuroimaging Features of Optic Nerve Hemangioblastoma Identified by Conventional and Advanced Magnetic Resonance Techniques: A Case Report and Literature Review
title_full_unstemmed Neuroimaging Features of Optic Nerve Hemangioblastoma Identified by Conventional and Advanced Magnetic Resonance Techniques: A Case Report and Literature Review
title_sort neuroimaging features of optic nerve hemangioblastoma identified by conventional and advanced magnetic resonance techniques: a case report and literature review
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/7367c204085c44cda548bdddc43db77d
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AT junkang neuroimagingfeaturesofopticnervehemangioblastomaidentifiedbyconventionalandadvancedmagneticresonancetechniquesacasereportandliteraturereview
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